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• <br /> verizon✓ <br /> Invoice Number Account Number Date Due Page <br /> 9760463316 371628681-00001-=03/08/16 2 of 60 <br /> Get Minutes Used Get Data Used Get Balance <br /> #MIN+SEND #DATA+SEND #BAL+SEND <br /> Payments <br /> Previous Balance $1,085.93 <br /> Payments—Thank You <br /> Payment Received 01/20/16 —562.83 <br /> Payment Received 02/01/16 —523.10 <br /> Total Payments • —$1,085.93 <br /> Balance Forward $.00 <br /> - - -- <br /> Written notations Included with or on your payment will not be reviewed or honored-Please send correspondence to <br /> Verizon Wireless Attn: Correspondence_Team_PU B,ox 5029 Wallingford, CT 06492 <br /> Automatic Payment Enrollment for Account:371628681-00001 EUGENE-PARKS&OPEN SPACES <br /> By signing below,you authorize Verizon Wireless to electronically debit your bank account each month for the total balance due on your account.The check you send will be used to <br /> setup Automatic Payment. You will be notified each month of the date and amount of the debit 10 days in advance of the payment. I understand and accept these.terms. This <br /> agreement does not alter the terms of your existing Customer Agreement.I agree that Verizon Wireless is not liable for erroneous bill statements or incorrect debits to my account.To <br /> withdraw your authorization you must call Verizon Wireless.Check with your bank for any charges. <br /> 1.Check this box. 2.Sign name in box below,as shown on the bill and date. 3.Return this slip with your payment.Do not send a voided check. <br /> 111 <br /> 0001357.0001068-0000002 of 8888088-C2443K5813,01358 <br />